<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
        "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
    <title></title>
</head>
<body>

<table>
    <tr>
        <td>Date</td>
        <td><input type="text" name="date"></td>
    </tr>
    <tr>
        <td>Stadium</td>
        <td>LIST</td>
    </tr>
    <tr>
        <td>Start time</td>
        <td><input type="text" name="time"></td>
    </tr>
    <tr>
        <td>Horses</td>
        <td>
            <div style="text-align: center;">
                <table>
                    <tr>
                        <td><input type="text" name="horse1"></td>
                    </tr>
                    <tr>
                        <td><input type="text" name="horse1"></td>
                    </tr>
                    <tr>
                        <td><input type="text" name="horse1"></td>
                    </tr>
                </table>
            </div>
        </td>
    </tr>
</table>


<select name="result">
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option><input type="text" name="ttt"/></option>
</select>

</body>
</html>